Fillable Dd Form 2826 - Trustee Report printable pdf download

OMB No. 0730-0012

TRUSTEE REPORT

OMB approval expires

Mar 31, 2010

The public reporting burden for this collection of information is estimated to average 15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and

maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including

suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0730-0012). Respondents should be aware that notwithstanding any other provision of law, no

person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ORGANIZATION. RETURN COMPLETED REPORT TO:

Defense Finance and Accounting Service

Continuing Government Activity (CGA)

P.O. Box 998021, Room 2323

Cleveland, OH 44199-8021

PRIVACY ACT STATEMENT

AUTHORITY: 37 USC Chapter 11; EO 9397.

PRINCIPAL PURPOSE: To report on the administration of the funds received on behalf of a mentally incompetent member of the uniformed services.

ROUTINE USE(S): Information may be released to the Internal Revenue Service for tax administration; General Accounting Office for auditing;

Department of Veterans Affairs for pay entitlements; Social Security Administration for pay entitlements; American Red Cross for locator service;

military aid societies for family assistance; and Office of Personnel Management for pay entitlements.

DISCLOSURE: Voluntary; however, if the information is not provided, an appointment of a trustee cannot be made.

INSTRUCTIONS FOR COMPLETING THIS FORM

As a Trustee, you are required to deposit all DoD funds received in a separate bank account, set up under your name as Trustee for the service

member. A report of the administration of the funds received is required by this office. These reports must show dates (month and year), total

amounts, and reasons for payments made. The back of this form may be used for reporting this information. Bank statements must be furnished to

support payments made. Failure to return this form with the required documents, failure to keep proper records of the money spent, or the improper

use of military pay may result in the withholding of future funds and termination of your Trusteeship. Obtain permission from this office for purchases

of$500 or more, other than normal living expenses. Return completed form to the above address.

SECTION I - INFORMATION ABOUT THE SERVICE MEMBER

1. NAME (Last, First, Middle Initial)

2. RANK

3. SOCIAL SECURITY NUMBER

4. STATUS OF MEMBER (X one)

(If member is not at home, give name and address of facility)

HOSPITALIZED/

HOME

NURSING HOME

OTHER (Specify)

SECTION II - SUMMARY OF PAY RECEIVED AND EXPENDED